How to Reframe Your New Year's Resolutions for a Healthy, Successful 2017

Ringing in the new year in good health.
— Dr. Dale

From How to Reframe Your New Year's Resolutions for a Healthy, Successful 2017

As the year ends, we start looking forward to making resolutions that improve our human condition in 2017. The most common New Year’s resolution is, of course, the ubiquitous “get healthy and stay fit,” which generally includes the dreaded diet.

There have been many fads to accomplish this superhuman feat over the last several decades including the all-tuna diet, multiple fat-burning drugs of questionable efficacy and the big favorite of stapling the ear lobe to curb any and all detrimental behaviors. 

Although 60 percent of us make resolutions upon ringing in the New Year, only about 8 percent are successful. Perhaps it's time to reframe our resolutions so that we have a fighting chance of seeing them through.

Firstly, the definition of "get fit and stay healthy "should not equate to pounds lost or marathons run. Interim improvements are extremely valid and more likely to lead to long-term success than an epic failure out of the gate.

To start, define what “getting healthy” means to you. Do you have the stamina to do the activities you enjoy with family and friends? Are you satisfied that you feel good about how you present to others? Keeping healthy and fit should feed your self-esteem, not lower it. Set reasonable goals. If you have not been a runner in the past, running four miles a day is not likely to happen. Rather, start with a goal like walking or exercising 20 percent more per month than you do right now. Be honest about your baseline and then set targets for each month until you feel great. 

We know more about nutrition now than we ever have before. Look up the information and make a list of recommended foods and incorporate them daily. Start small, develop a taste and then make intentional increases monthly until the end of 2017. Chart your improvements so all the world, including you, can see success. 

Focus on feeling better – not turning back time. If you are a smoker, stop. Whether it is cigarettes or vaping or anything related, the risk benefit-ratio is definitely to the negative. One in 15 cigarette smokers will die of cancer. Lung cancer kills more people annually than the other top three cancers combined. Vaping has been shown to deposit toxic chemicals directly into the lungs. For your own health and for your loved ones, make this a priority in the coming year. 

Secondly, be a caregiver to yourself. In the U.S., about 43.5 million of us provide unpaid care to someone else every year. It is honorable; it is the right thing to do. But how many of us provide the self-care needed to sustain these efforts?

Start with sleep. Rest is required for rejuvenation but it has many other benefits, too. Sleep has been implicated in affecting depressive tendencies, accident risks, memory, life span, inflammatory response, creativity, attention, academics and yes, even maintaining a healthy body weight. Yet, at least 40 percent of Americans do not get the recommended hours of shuteye.

Add to that the fact that the number of people visiting the doctor to maintain their health continues to decline, according to the U.S. Census Bureau, and about half of us do not comply with recommended medications. Not surprisingly, our health continues to crumble. So, we are tired and ill, which does not lead to the get-fit-and-healthy goal above. Just like putting our oxygen mask on first in an airplane emergency, we need to work on ourselves – and then assist others. Not to the point of narcissism, of course, but we need to be strong to support those in our lives. So take your medicine, get some sleep and call in the morning.

Beyond the physical, we also need to nurture our spirit to find the nirvana of feeling well. Maybe it's in the form of art or music. Maybe it's in communing with nature by hiking. Maybe it is experiencing other cultures or food. Whatever the outlet, it should allow you to let go of stress so you feel calmer and happier, and it should make you smile if not laugh out loud. Laughter can relieve stress, improve blood pressure and even burn a few calories. It's OK (and even necessary in this day and age) to schedule time for leisure and pleasure. It is even OK to relax, sit on the couch and enjoy a television show (in moderation).

Thirdly, give up non-productive anger. Whether your trigger is politics, inflation or taxes, ask what you can do to impact it directly. If the answer is nothing, let it go. Anger in itself can have detrimental effects on our health. Freely expressing your anger often impacts others around you, battering their emotional well-being and productivity. It also increases fatigue, adding to our poor sleep habits, and is nothing but an energy drain. 

While "focus on the positive" might sound like a slogan from a simpler time, it is as true today as ever. Use the five-to-one rule. For every negative statement you make, say five positive things. Keep track on a little index card. Or at the very least, refrain from saying five additional negative statements in a day. You might be surprised how quickly it becomes habit, but it won’t without some effort.

Lastly, practice kindness. Whether you focus on random or intentional acts of kindness, the effects will be more beneficial than we imagine. Kindness has been touted to improve success, cognitive functioning, energy and heart health; it has even been said to slow aging. Regardless of the science, kindness actually makes us feel better when we show it to others. More than that, it models the way for those around us to continue to pay it forward. It gives us reasons to get up off that couch and act. It connects us to our fellow human beings, the crux of trying to live in a community.

So, yes, make your resolutions. Make them count by making wise choices that help you incrementally find success. Don’t beat yourself up before you even get started by making goals not even an Olympian could attain. Make your goal self-love and satisfaction this coming year. In the end, 2017 will be a chronicle of the year that was and that story will be in the books. Make yours a best-seller.

A Recipe For Healthy Holidays: 14 Key Ingredients

Helpful ingredients to get you through the holidays.
— Dr. Dale

A Recipe For Healthy Holidays: 14 Key Ingredients

https://www.drdalemd.com/blog/2016/12/2/coping-through-holiday-season-anxiety

As Ralph Waldo Emerson once said, “the first wealth is health.” While reflecting on what we are most thankful for this holiday season, let’s remember the importance of good health. Though the holidays brim with joy and happiness for many, they can also add stress with traveling, visiting relatives and maintaining diet and exercise goals. Listed below are some key ingredients for a recipe that will ensure a happy and healthy holiday season:

1) Eat Well

An abundance of food is at almost every event this time of year. But don’t let the holiday season undo the health gains you’ve made throughout the year. Eat a balanced diet rich in fruitsvegetables, fiber, whole grains, protein and vitamins, and try to cut down on calories, saturated fats and salt. Smart eating helps maintain a healthy weight and has long-term health benefits, reducing the risk of chronic illnesses such as heart disease, stroke, type 2 diabetes, certain cancers, and other diseases. Maintaining healthy eating patterns, however, can be difficult during the holiday season. Interactive tools such as My Plate, a visual guide to healthy eating, can help you build a nutritious meal by defining healthy foods and their serving sizes throughout this festive season. To keep your diet on track, maintain a routine schedule for meals during the holidays, pile your plate with vegetables and fruits, drink plenty of water, and eat mindfully, taking the time to enjoy your food. Start the morning with a healthy breakfast, which will provide a boost of energy and help control your appetite throughout the day (get tips from the American Heart Association). At holiday parties, whether you are hosting the meal or bringing food to share, make recipes healthier by reducing fat, sugar and calories. Some simple tricksto reduce unhealthy ingredients in your recipes include using fat free chicken broth, decreasing the amount of oil and butter, and replacing cream with fat free yogurt or sour cream. When filling your plate, choose lean turkey meat, whole grains, fruits, vegetables, broth-based soups, salads, and other foods that contain water and fiber. A good variety is also important—sampling a small amount of foods with different textures and colors can help alleviate cravings. Don’t punish yourself for indulging a little—just be moderate in your portions of less-healthy foods, and enjoy your favorite dessert this holiday season, but do so in small amounts.

2) Cook and Eat Safely

Food safety is very important when preparing your holiday meals. Foodborne illness is responsible for about 3,000 deaths per year, and 1 in 6 Americans become sick annually from contaminated foods or beverages. To reduce the risk of foodborne illness, safely thaw, prepare, and cook all meat, poultry, and seafood. Keep bacteria at bay by safely thawing frozen meat in cold water in either the refrigerator or in a microwave oven—never thaw or marinate on the counter. Thoroughly clean surfaces, utensils and cutting boards, and wash your hands for at least 20 seconds after touching raw meat. Unclean surfaces and tools can transfer illness-causing bacteria to other foods. Minimize the risk of cross-contamination by separating your raw meat, poultry, seafood, and eggs from ready-to-eat foods in your shopping cart, refrigerator, and cutting boards. Checking the color of your cooked food is not enough to ensure that it is free from bacterial contamination, so use a food thermometer to ensure the correct internal temperature of the meat, and follow safe minimum cooking temperatures. Promptly store perishable foods, including leftovers, in containers in the refrigerator or freezer within two hours, as bacteria can multiply rapidly at room temperature. Remember to safely handle fruits and vegetables as well; wash fruits and vegetables before eating and preparing them, even if peeling them. Finally, with the holiday season coinciding with increased travel and the cold/flu season, wash your hands often and consider using alcohol based hand sanitizers to prevent the spread of viruses and other microbes.

3) Be Active

Physical activity is one of the most important ingredients of a healthier future. Don’t let the cold weather get you down—bundle up and get moving! The holidays are no excuse to stop your exercise routine. Take advantage of having friends and family around by asking them to join you on a walk or gym session, and accept their invitations when they request your company. If staying at a hotel, visit the indoor swimming pool or gym, and if you find yourself at a relative’s or friend’s home, take a walk or go on a run to explore the new neighborhood and local sights. Embrace whatever fitness activities are available—play tag with the kids, volunteer to make a grocery run, have a dance party, or do a simple indoor workout routine that doesn’t require equipment. If you don’t currently have an exercise regimen, the holidays are a wonderful time to crowdsource for fitness ideas from family and friends, and you can even add fitness equipment—such as a jump rope that counts your jumps, a new yoga mat, or an electronic exercise monitor to wear on your wrist—to your holiday wish list. When crafting an exercise plan, aim for at least 30 minutes of moderate-intensity aerobic exercise with strength training at least five days a week, or 1 hour and 15 minutes per week of high-intensity aerobic exercise combined with strength training. The New Year is a great time to make small, everyday lifestyle changes that can get you moving; take the stairs instead of elevators, think of home chores, such as vacuuming, raking leaves and shoveling snow, as exercise opportunities rather than burdens, power walk with coworkers during lunch, or try a pedometer and aim for 10,000 steps a day. Visit fitness.gov to learn more.

4) Stay Hydrated

Whether you are traveling or hosting a holiday event, cold weather, changing routines, and busy holiday schedules can make drinking plenty of water throughout the day an afterthought. Be aware of the symptoms of dehydration; if you are feeling weak, dizzy, or drowsy, or if you have headaches or migraines, you may not be getting enough water. Staying hydrated can help with jet-lag if you are traveling and can help prevent excessive eating as well. It can also have positive effects on your mood. Aim to drink eight 8-ounce cups of water per day, have an extra glass before your holiday meal so you don’t feel famished when dinner begins, and replace sugary drinks, such as soda, with water, which will also help to trim calories from your diet. If you are looking for a useful gift for friends or relatives, consider a reusable water bottle as a present. Not only are they a fun way to help people stay hydrated (they are available in a wide array of colors and designs), but they also have the added benefit of being environmentally friendly.

5) Moderate Your Holiday Libations

The holidays are a time for celebration but shouldn’t be an excuse for consuming excess alcohol. If enjoying a drink at holiday parties this season, remember that moderation is essential. The holiday season can be one of the most dangerous times of the year for alcohol-related injuries and alcohol abuse, so always be aware of your alcohol intake, don’t drink and drive, and also be sure that others don’t get behind the wheel after drinking alcohol. In 2015, alcohol-impaired driving killed 10,265 people, a startling 3.2% increase from 2014. Moderate your alcohol consumption, be aware of standard serving sizes, stay hydrated, and remember that women metabolize alcohol differently from men and should consume less. Alcohol also adds significant calories and few nutrients to your diet. If hosting an event this holiday season, don’t let alcohol be the focus of your party, and be mindful of how alcohol may affect your guests. Serve food with alcoholic drinks, mix alcohol with juice or spritzers, offer a selection of non-alcoholic beverages, stop serving alcohol well before the party ends, and offer to allow those who may be impaired to stay the night and off the roads. Read more about the negative health effects of excessive drinking here.

6) Stop Smoking

Cigarette smoking is the leading preventable cause of mortality in the U.S, linked to 1 in 5 deaths in America annually, so give yourself a lifesaving gift by never smoking or by stopping tobacco use if it is a habit. Smoking increases the risk for coronary heart disease, cancer, stroke and many other diseases. Furthermore, second-hand smokesignificantly impairs the health of others. If you smoke, utilize the support of your family and friends to begin weaning off cigarettes this holiday season. Quitting smoking reduces your risk of developing cardiovascular diseases, lung and other cancers, and stroke. Learn more about the negative effects of smoking, the benefits of stopping tobacco use, and the variety of different methods to help you quit, including behavioral interventions, nicotine gum and patches, and medications, at smokefree.gov and at BeTobaccoFree.gov. Kicking the habit is the number one thing you can do to safeguard your health today and in the future!

7) Enjoy Family and Friends

Though being surrounded by your family over the holidays can be stressful—think Clark Griswold in Christmas Vacation—having strong social support actually benefits your mental health, health behaviors, and physical health. In fact, scientists in the field of psychoneuroimmunology, the study of how social and psychological factors impact the immune system, have found that having strong social connections strengthens the immune system and may significantly increase longevity. Conversely, social isolation and non-supportive social interactions can result in poor immune system functioning. Studies show that, holding other factors that may influence mortality constant, the risk of death among individuals with fewer social ties is more than twice the risk of death among those with the most social connections. Additionally, behavioral factors, such as concern for other people create incentives to stay healthy. Social networks facilitate health information sharing and establish health behavior norms, so if you’ve been eager to try out a new exercise routine, exercise class, or diet, ask others to join you—you’ll have more fun with friends and family around to offer support and share the experience, and you will build new memories with those close to you. By spending quality time with your friends and family and engaging them in fun, healthy activities, such as a walk, hike, or game, you’ll give yourself and others an important ingredient of the gift of good health.

8) Stress Busters and Mindfulness

Stress can negatively impact your mental and physical health, so if you feel overwhelmed during the holidays, try to reflect on what might be bothering you, and take time to remedy the problem. Perhaps having some alone time, watching a favorite movie, reading a book, listening to music or taking a peaceful walk will help you relax and enjoy this busy season. Set aside time for a yoga routine, or head to the gym, as physical activity can be an effective way to reduce stress. Also consider practicing mindfulness, “a state of active, open attention on the present,” as a method of stress-reduction. There’s been a lot of news about the benefits of mindfulness for a reason—it has been shown to reduce anxiety and stress, help with weight loss, and improve sleep. During the holidays, mindfulness can be a wonderful tool to help you stay on track with your diet, exercise and sleep goals. As you begin the New Year, practicing mindfulness can help you reduce stress and reflect most on what provides you with fulfillment and contentment. Try it out—you may be surprised by how many of life’s ups and downs are in your control. Learn more about mindfulness and how to practice it here.

9) Be Realistic

Many people spend a lot of their time trying to make the holidays perfect in every way, but this year, take a step back and relax. Set realistic goals for yourself, and don’t expect that you will find the perfect gift for everyone or make an award winning holiday dinner. Focus on weight maintenance rather than weight loss, and don’t punish yourself if you indulge every now and again. When brainstorming your New Year’s resolutions, think of one or two realistic, achievable goals that are adaptable to your lifestyle and daily schedule, and you’ll be much more likely to be successful—research finds that only 8% of Americans achieve their resolutions. Consistently track the progress of your resolutions, and if you have a slight setback, don’t give up. Perseverance pays off!

10) Get Enough Sleep

Between traveling, shopping, attending holiday events and seeing family and friends, getting enough sleep during the holiday season can be difficult. Yet getting a good night’s rest will leave you refreshed for the next day’s festive events, help reduce stress, and improve your overall health. Most adults require 7 to 8 hours of sleep each night. Whether you are away from home during the holidays or hosting guests, prioritize maintaining a regular bedtime routine, and avoid caffeine, alcohol, heavy meals, exercise and looking at your computer, phone or tablet right before bedtime. Research finds that artificial light exposure between dusk and the time you go to bed makes it more difficult to fall asleep, so try a book instead of your cellphone. Create a dark, quiet, and comfortable environment to help you fall asleep. If you have trouble sleeping, listen to a book on tape or a podcast that can help you fall asleep. Getting adequate sleep will give you a boost to feel your best and fully enjoy the holidays.

11) Fend off Flu and Other Infectious Diseases

Being sick can quickly disrupt your holiday cheer. With increased domestic and international travel during the holiday season, infectious diseases, like the flu, can spread, so keep safe by practicing good hygiene, washing your hands, covering coughs, avoiding close contact with people who are ill, carrying hand sanitizer or sanitizing wipes, and getting vaccinated for seasonal flu now. Immunization is the most effective way to prevent contracting the flu, but be sure to opt for the injectable flu vaccine this year, as experts are recommending against the nasal spray vaccine. Each year, complications from influenza virus infection, including pneumonia, bronchitis, sinus and ear infections, result in more than 200,000 hospitalizations and between 3,300 and 49,000 deaths annually in the United States. Learn more about the flu vaccine, and check out www.flu.gov to find ways to protect you and your family from this illness during the holidays. If you are travelling internationally, speak with your doctor about any necessary immunizations or health safety precautions that might be relevant for your destination. Check out the CDC’s travel page for information about how to protect yourself from infectious diseases during your holiday travels.

12) Travel Safely

Travel safely this holiday season by following this roadmap: 1) if you are driving, wear a seatbelt, stay calm while in holiday traffic, and get adequate sleep before getting behind the wheel; 2) never drink or use other substances and then drive; and 3) avoid fatigue on long road trips by bringing a companion with you who can take over if you feel tired and by scheduling regular stops every two hours to stretch your legs and have a snack. Research shows that being awake for at least 18 hours is equivalent to having a blood alcohol content level of 0.05%. Recent studies estimate that driver fatigue is linked to 100,000 automobile crashes annually. If you are flying, getting enough rest and drinking plenty of water is important, especially if you are crossing time zones.

13) Get Insured

Having health insurance is critical to receiving the medical care you need. In 2015, one in five Americans without insurance was unable to receive necessary health care, including preventive services, because of high medical costs. 53% of uninsured adults report having problems paying medical bills significantly straining their financial stability, as compared to 20% of adults with insurance.

Thanks to the passage of the Patient Protection and Affordable Care Act of 2010 (ACA), the rate of uninsured Americans is at an all-time low of 8.6%. The ACA’s “Patient’s Bill of Rights” prohibits insurance companies from instituting lifetime and annual limits on coverage, dropping patients who file reimbursement claims, and spending more than 20 percent of premium payments on administrative costs. Important victories of the legislation include provisions that prohibit insurance companies from denying insurance coverage to people because of pre-existing conditions or gender, allowing young adults to stay on their parents’ health insurance until age twenty-six, providing free preventive care services including mammograms and colonoscopies, and ensuring parity in coverage of mental and physical illnesses. Additionally, the ACA expanded eligibility for the Medicaid program in states to provide coverage for more individuals with incomes at or below 138 percent of the poverty level (approximately $16,243 annually for an individual and $33,465 for a family of four in 2016).

Since the passage of the ACA in 2010, an estimated 20 million Americans, including more than 6 million young adults, have gained health insurance coverage. However, despite this progress, approximately 29 million people—1 in 11 Americans—remain without health insurance. The Health Insurance Marketplace is currently in a period of open enrollment that lasts until January 31, 2017, so if you are uninsured, give yourself a lifesaving gift by shopping for the best plan for you on www.healthcare.gov.

14) Remember Those in Need

Remember to think of those who are in need this holiday season. One in seven Americans experiences food insecurity, and in 2015, 15.8 million (12.7 percent) U.S. households were food insecure. During the holidays, feel gratitude for what you have and be charitable to those who are less fortunate. Help serve in a food pantry in your area, or make a donation to a local charity. Visit the Snap to Health website to learn more about how you can contribute to preventing hunger in your community and in our country. Visit the Charity Navigator website to learn how you can give to charities that have a big impact on the lives of the people they serve. Make giving to others a year-round priority.

Summary

Safeguarding your health is the most enduring gift you can give yourself this holiday season. Health impacts all facets of life. In fact, studies have found that good health is associated with increased happinesshigher levels of workplace productivity, and longer life expectancy. Integrating the fourteen ingredients discussed above into your lifestyle will help ensure you have a healthy and happy holiday season and a fulfilling, productive New Year. Treat yourself to the gift of good health, and its effects will last for years to come!

Rear Admiral Susan Blumenthal, M.D., M.P.A. (ret.) is the Public Health Editor of the Huffington Post. She is also a Clinical Professor at Tufts and Georgetown Schools of Medicine, a Senior Fellow in Health Policy at New America and Senior Policy and Medical Advisor at amfAR, The Foundation for AIDS Research. Admiral Blumenthal served for more than 20 years in senior health leadership positions in the Federal government in the Administrations of four U.S. Presidents including as Assistant Surgeon General of the United States, the first Deputy Assistant Secretary of Women’s Health, and as Senior Global Health Advisor in the U.S. Department of Health and Human Services. She also served as a White House Advisor on health. Prior to these positions, Dr. Blumenthal was Chief of the Behavioral Medicine and Basic Prevention Research Branch and Chair of the Health and Behavior Coordinating Committee at the National Institutes of Health (NIH). She has chaired many national and global commissions and conferences and is the author of many scientific publications. Admiral Blumenthal has received numerous awards including honorary doctorates and has been decorated with the highest medals of the U.S. Public Health Service for her pioneering leadership and significant contributions to advancing health in the United States and worldwide. Named by the New York Times, the National Library of Medicine and the Medical Herald as one of the most influential women in medicine, Dr. Blumenthal was named the 2009 Health Leader of the Year by the Commissioned Officers Association and as a Rock Star of Science by the Geoffrey Beene Foundation. She is the recipient of the Rosalind Franklin Centennial Life in Discovery Award. 

Katherine Perez graduated with Honors from Princeton University in 2016 with a degree from the Woodrow Wilson School of Public and International Affairs and minors in Global Health Policy and African Studies. She has previously interned at The Public Health Foundation of India in New Delhi, India, where she worked on vaccine cold chain logistics, and at The Oxford University Clinical Research Unit in Ho Chi Minh City, Vietnam, where she studied the etiology of emerging viral infections. Her senior thesis at Princeton examined the economic and societal impacts of the 2014 Ebola outbreak in West Africa and integrated economic, historical and anthropological analysis in order to critically assess existent health policies to offer recommendations for addressing future outbreaks of infectious disease on both a national and a global scale. Katherine currently serves as a Health Policy Intern at New America in Washington, D.C.

Do Men and Women Need Separate Multivitamins?

Good to know!
— Dr. Dale

Do Men and Women Need Separate Multivitamins?

http://well.blogs.nytimes.com/2016/12/09/do-men-and-women-need-separate-multivitamins/?rref=collection%2Fsectioncollection%2Fhealth&action=click&contentCollection=health&region=stream&module=stream_unit&version=latest&contentPlacement=6&pgtype=sectionfront&_r=0 

Q:

Do men and women need separate multivitamins?

The popular multivitamin brand we usually buy (we're in the 50+ category) now comes in "his" and "hers" (specific versions for men and for women) as well as the gender-neutral version. Do we really need his and hers vitamins or is this just a marketing ploy to get us to spend more money by buying two different bottles of their product?

A:

If you’re going to take a multivitamin, it makes sense to get one tailored to your age and gender, though many experts question whether you need to take a multivitamin at all. 

“There is a rationale for having sex-specific vitamins,” said Jeffrey B. Blumberg, a professor of nutrition science and policy at Tufts University, who serves on the advisory boards for several supplement companies. “The recommended dietary allowances,” which are the average daily amount that most people need, “are in fact broken down into male and female, as well as age groups.” Formulas for men over 50, for example, typically have no iron, since iron levels can build up over time and in older people, especially men, lead to organ damage. Formulas for seniors may also have more vitamin B12, which older people may have trouble absorbing from foods, and vitamin D. 

Dr. Blumberg recommends that most people take a multivitamin as insurance that they are getting a full range of the nutrients we need, but others disagree. “They are unnecessary unless you have a medical diagnosis for which they’re required,” said Dr. Pieter A. Cohen, an assistant professor at Harvard Medical School. “If no one needs it, how could there be one that’s better for a woman or a man?” A 2014 review by the United States Preventive Services Task Force found that there was not enough evidence to recommend for or against multivitamins for the prevention of heart disease or cancer. 

There is wide agreement that some people should take a daily multivitamin, including pregnant women and nursing mothers, people on a heavily restricted diet, and those with a known nutrient deficiency. Another point of agreement: supplements cannot replace diet. It’s best to get as many of your nutrients from foods as possible. “We should think of this as a safety net, definitely not a replacement for a healthy diet,” said Dr. Walter C. Willett, a professor of epidemiology and nutrition at the Harvard T.H. Chan School of Public Health, in an email.

As to the pricing issue: If you do decide to take a multivitamin, whether you end up paying more for his or her varieties will depend on how the manufacturer prices them compared to general formulas. But either way, you’ll each be taking the same total number of vitamin pills.